MICHAEL F HASE Athletics Professional License verification

Business Entity

NOT RENEWED

License Type

Athletics Professional

Description

ATHLETICS - LICENSED PHYSICIAN

License Number

002020197-0002

License Status

NOT RENEWED

Business

First Name

MICHAEL F

Last Name

HASE

Business Name

MICHAEL F HASE

Original Issue Date

05/06/1976

Effective Date

05/06/1976

Expiration Date

05/06/1977

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/18/2006